Re: Prime Health Services

Christie

Description

Title:

Re: Prime Health Services

Creator:

Christie

Date:

6/26/2014

Text:

Please see some responses below to my question:

 

I am wondering if anyone works with Prime Health Services PPO Network (out

of TN) as a TPA for worker's compensation, group health, and auto? If yes,

would you recommend them and do you feel you've had a good experience with

them?

 

Responses:

 

1) We have a contract with them and we have no complaints.

2) After looking over their contract my advice would be run away as
fast as you can.

3) Absolutely no.

a. Reimbursement is below Medicare;

b. Work comp reimburses at 5% above Medicare;

c. Auto reimbursement is UNC or very close-several procedures auto
reduces payment amount to below UNC BUT significantly higher than Medicare

d. There is no good enough reason for anyone to accept payment levels
below Medicare.

 

Christie Sydow

Active Brace and Limb

 

 


                          

Citation

Christie, “Re: Prime Health Services,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 24, 2024, https://library.drfop.org/items/show/236478.